Healthcare Provider Details

I. General information

NPI: 1083065858
Provider Name (Legal Business Name): MARY P CAHILL CPNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MARY CAHILL

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 05/07/2025
Certification Date: 05/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 WASHINGTON ST
TAUNTON MA
02780-5293
US

IV. Provider business mailing address

1 WASHINGTON ST
TAUNTON MA
02780-5293
US

V. Phone/Fax

Practice location:
  • Phone: 508-559-6699
  • Fax: 508-559-5073
Mailing address:
  • Phone: 857-358-7260
  • Fax: 857-358-7269

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberRN167783
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: